HCPCS C1789 Code. Prosthesis, breast, imp


Table of content for "Prosthesis, breast, imp" (HCPCS C1789)

General information on the “C1789” code

HCPCS Code: C1789
Long Description: Prosthesis, breast (implantable)
Short Description: Prosthesis, breast, imp

Original information is taken from C1789 page

Pricing indicators

Pricing Indicator Code 1: 53 – Statute
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology

Certification and additional reference information


Statute Number: 1833(T)

Coverage

Coverage: D – Special coverage instructions apply

Type of service


Berenson-Eggers Type of Service (BETOS): D1A – Medical/surgical supplies
Type Of Service 1: 9 – Other medical items or services
Type Of Service 2: S – Surgical dressings or other medical supplies (eff 04/95)

Misc information

Anesthesia Base Unit Quantity: 0
Code Added Date: 20010401
Code Effective Date: 20040101
Action Code: N – No maintenance for this code